Introduction, purpose of the study: In Central Europe, in Hungary, the state guarantees access to health care and basic health services partly through the Semmelweis Plan adopted in 2011. The Health Plan aims to optimize and transform the health system. The objectives of hospital integration, as set out in the Plan, started with the state ownership of municipal hospitals in 2012, continued with the launch of integration processes in 2012–2013 and culminated today. The transformation of a health system can have an impact on health services and thus on meeting the needs of the population. We aim to study the effectiveness of integration through access to CT diagnostic testing. Our hypothesis is that integration has resulted in increased access to modern diagnostic services. The specialty under study is computed tomography (CT) diagnostic care. Our research shows that the number of people receiving CT diagnostic care has increased significantly because of integration, which has also brought a number of positive benefits, such as reduced health inequalities, reduced travel time, costs and waiting lists. Test material and method: Our quantitative retrospective research was carried out in the hospital of Kalocsa through document analysis. The research material was comparing two time periods in the Kalocsa site of Bács-Kiskun County, Southern Hungary. The number of patients attending CT examinations by area of duty of care according to postal codes was collected: Pre-integration period 2014.01.01–2017.11.30. (Kalocsa did not have CT equipment, so patients who appeared in Kecskemét Hospital but were under the care of Kalocsa), post-integration period 2017.12.01–2019.12.31. (period after the installation of CT in Kalocsa). The target group of the study consisted of women and men together, aged 0–99 years, who appeared for a CT diagnostic examination. The study sample size was 6721 persons. Linear regression statistics were used to evaluate the results. Based on empirical experience, a SWOT analysis was carried out to further investigate the effectiveness of integration. Results: As a result of the integration, the CT scan machine purchased in the Kalocsa District Hospital has enabled an average of 129.7 patients per month to receive CT scans on site without travelling. The model used is significant, explaining 86% of the change in the number of patients served (F = 43.535; p < 0.001, adjusted R2 = 0.860). The variable of integration in the model is significant, with an average increase in the number of patients served of 129.7 per month (t = 22.686; p < 0.001) following the introduction of CT due to integration. None of the month variables representing seasonal effects were found to be significant, with no seasonal effect on care. The SWOT analysis has clearly identified the strengths, weaknesses, opportunities and threats related to the integration, the main outcome of which is the acquisition of a CT diagnostic tool. Conclusions: Although we only looked at one segment of the evidence for the effectiveness of hospital integration, integration in the study area has had a positive impact on CT availability, reducing disparities in care.
Due to the bounded rationality of decision-makers and the substitution effect of non-green products, retailers are not always profitable when selling green products. To assist retailers who may be disadvantaged in the game, this study constructs a two-stage green supply chain game model, considering the bounded rationality of decision-makers and the substitution effect of non-green products, and analyzes the impacts of two operational strategies that retailers can adopt—price-cutting strategy and early replenishment strategy. The research reveals that retailers tend to lower prices in the second stage when price reductions stimulate consumer purchases, enhancing their profitability. However, strategic retailers may raise prices in the first stage to create room for discounts later, potentially harming consumer interests. Contrary to expectations, anticipating future demand does not always improve supply chain profitability in the early replenishment strategy, which mainly depends on the market environment. Early replenishment deprives retailers of negotiation leverage in the second stage, and bulk orders may lead manufacturers to over-invest in green innovation. Therefore, this strategy is effective only when green innovation costs are low, consumer environmental awareness is high, or price sensitivity is low.
Contemporary infrastructure research has its origins in the late 1980s as attempts were made to measure the economic impact of public expenditures with early mixed results. In the 1990s, infrastructure assumed greater importance as a policy solution to improve economic performance in low-income economies particularly by multilateral development and official development agencies. This interest led to greater research interest with the examination of infrastructure and economic development, foreign direct investment, the role of institutions and capital markets, procurement, regional economic effects and more recently, the productivity of public investment in specific regions and industries.
This article identifies subjects that warrant further research in the future particularly the shortfall in current investment levels and how this will be met. This is a challenge for both low and high-income countries with fiscal and public debt constraints requiring governments to tap alternative sources of finance. Policy options available to government include wider use of bond markets and private participation in infrastructure provision and management. Other problems facing government include optimism bias and forecasting error that is a particular problem for projects in the transport sector.
Many other research opportunities remain to be explored and this article is designed to provide an overview of several of the subjects that would benefit from further research at the present time.
This systematic literature review examines the convergence of entrepreneurship and information technology between 2005 and 2024. It investigates how the emergence of information technologies such as social networks, smart devices, big data, and cloud computing have transformed business operations and entrepreneurial approaches. The study use technologies such as Bibliometrix to analyze academic literature and identify research trends, knowledge structures, and their evolutionary routes. During the specified time frame, a grand total of 292 articles were published by 777 writers. These publications have played a key role in redirecting academic focus from traditional entrepreneurship to the field of digital entrepreneurship and the applications of information technology. A thematic analysis uncovers a shift from theoretical investigation to practical implementations and multidisciplinary research, while a co-citation analysis highlights important contributors and influential works. This study emphasizes the crucial importance of information technology in influencing entrepreneurial behaviors and strategic business decisions. It also offers valuable insights for future research and entrepreneurial practice in the information age.
With the increasing call for sustainable development, cities’ demand for green innovation has also been growing. However, relatively little research summarizes the influencing factors of urban green innovation. In this study, we conducted a visual analysis of 1193 research articles on green innovation in cities from the Web of Science core database using bibliometrics and visualization analysis. By analyzing co-occurrence, co-citation, and high-frequency keywords in the literature, we explored the current research status and development trends of influencing factors of urban green innovation and summarized the research in this field. The study found that collaboration among authors and institutions in this field needs to be strengthened to a certain extent. In addition, the study identified the research hotspots and frontiers in the field of urban green innovation, including “management”, “diffusion”, “smart city”, “indicator”, “sustainable city”, “governance”, and “environmental regulation”. Among them, “management”, “governance”, “indicator”, and “internet” are the research frontiers in this field, which are expected to have profound impacts on the future development of urban green innovation. The co-citation analysis results found that China has the highest research output in this field, followed by the United States, England, Australia, and Italy. In conclusion, this study uses CiteSpace software to identify important influencing factors and development trends of urban green innovation. Urban green innovation has gradually become a norm for social and collective behavior in the process of concretization, interdisciplinary development, and technological innovation. These findings have important reference value for promoting research and practice of urban green innovation.
Copyright © by EnPress Publisher. All rights reserved.